临床医生精神疾病态度量表中文版在社区精神卫生工作者中的信度、效度研究  

Reliability and validity of the Chinese vision of mental illness: the clinicians's attitudes scale among com-munity mental health staff

作　　者：李洁[1] 李娟[1] Jheanell Gabbidon Sarah Clement 马志莹 郭扬波[1] Graham Thornicroft 

机构地区：[1]广州市精神病医院,510370 [2]英国伦敦皇家学院精神医学研究所 [3]美国芝加哥大学人类学系

出　　处：《临床精神医学杂志》2014年第4期227-229,共3页Journal of Clinical Psychiatry

基　　金：英国国立健康研究所应用研究计划:通过降低病耻感与歧视改善精神卫生结局(RP-PG-0606-1053)

摘　　要：目的:探讨临床医生精神疾病态度量表(MICA)中文版在社区精神卫生工作者中的信度、效度与可接受性。方法:应用MICA中文版对广州市8个区(市)80名社区精神卫生工作者进行间隔1周的两次调查、报告和意向行为量表(RIBS)调查,并附加关于生活中对精神疾病患者态度及对MICA理解度的调查。结果:MICA中文版内部一致性信度(Cronbach’α)为0.720,分半信度为0.685,重测信度为0.764(P<0.05);表面效度良好;与RIBS总分及附加条目评分呈负相关(r=-0.516,r=-0.310;P均<0.01)。主成份分析产生6个因子,共解释方差65.1%。该量表3 min内可完成。结论:MICA中文版是社区精神卫生工作者对精神疾病态度的有效评估工具。To study the reliability,validity and acceptability of the mental illness：clinicians′attitudes scale（MICA）Chinese vision among community mental health staff. Method：Eighty community mental health staff from 8 regions in Guangzhou were investigated by MICA Chinese vision twice one week a-part;and also by reports and intent behavior scale（RIBS）,additinal item attitude toward patients with mental illness in live life and the understanding degree of the MICA. Results：The internal consistency（Cronbach’α）of MICA Chinese vision was 0. 720 and the Spearman-Brown split-half correlation was 0. 685. The test-retest reliability was 0. 764（P ﹤ 0. 05）. The scale had good face validity. Its nagetive correlation with RIBS score and the additional item（r = - 0. 516,r = - 0. 310;all P ﹤ 0. 01）. Principal component analysis produced 6 factors and could explain 65. 1＆#177; variance. The scale can be completed in 3 min. Conclusion：MICA Chinese version is an effective assessment tools on community mental health worker attitudes toward mental illness.

关 键 词：精神疾病 社区精神卫生工作者 病耻感 心理测量 

分 类 号：R749.4[医药卫生—神经病学与精神病学]